Psychiatric Interviews for Teaching: Psychosis

[@Gwyllgi]

Notice she never denies what he's saying, and never affirms. Very good.

[@teamcrumb]

she's very wooden

[@usashveloebifunclub]

👍🏻

[@usashveloebifunclub]

yeas

[@JOHNNYwxw]

Of course . You just ask questions . You never judge or say your opinion . You have to be friendly so the patient opens up . Remember he might be hearing voices saying don’t talk to her

[@GaneshNikrad]

Its called empathatic approach ​@@JOHNNYwxw

[@pwbmd]

<a href="#" class="seekto" data-time="50">0:50</a> - "My housemates work for MI5 and they're doing stuff to my brain" = Persecutory delusion/paranoia <a href="#" class="seekto" data-time="120">2:00</a> - "I can hear them talking about me" = Auditory hallucinations <a href="#" class="seekto" data-time="160">2:40</a> - "They're always talking about everything I'm doing" = Running commentary <a href="#" class="seekto" data-time="230">3:50</a> - "They're putting stuff in my brain...they're not my thoughts" = Delusion of control/thought insertion <a href="#" class="seekto" data-time="255">4:15</a> - "It's MI5" = Preoccupation <a href="#" class="seekto" data-time="340">5:40</a> - "I don't leave my room much" = Isolative behavior (negative symptom) <a href="#" class="seekto" data-time="420">7:00</a> - "I thought of taking some pills" = Passive suicidal ideation <a href="#" class="seekto" data-time="540">9:00</a> - "I smoke a bit of weed" (cannabis associated with increased psychosis in pts w/ schizophrenia) <a href="#" class="seekto" data-time="645">10:45</a> - "I'm not ill" = Lack of insight Also of note: Poor eye contact, fidgety/distractable. Anyone notice anything else?

[@learnsomethingeveryday9164]

nic man

[@terryma6011]

2:00 is ideas of reference, not AH

[@procrastinating_author]

Terry: He says that he hears them when they're not in the room with him, such as either when he's left the room, or even then when he was talking to the Doc. AH. Paul: I originally thought the disheveled look was that he's really not look after himself, or maybe the voices aren't letting him. But then I remembered that the was a uni student, so that's normal. lol. I'm thinking there may be some esteem things wrong as well, as his voice is soft, sometimes murmuring. He seems to be cognitively healthy besides the mental illness, off his appearance, even if he is a student, I may think that he doesn't look after himself because of the voices. He says he not there for himself, he's there for "his mum". That and he didn't keep very good eye contact. Edit: Oh, and he's paranoid, thinks people are out to get him, ie, his roommates poisoning his food.

[@naveensilva2312]

Thank you, I wish they had something like this in every video, it really helps to hear what patients say in the real world and connect it to the medical term.

[@drsvetlanaias78]

Paul W. Bolin are u a doc? v good observation

[@kabirvana]

Being a survivor of psychosis, this video actually made me tear up. I don’t wish it on my worst enemy. Psychosis really is an experience that really messes with how you live your life. I wish everyone well.

[@sharfraz6482]

If you don't mind me asking, do you know/ remember the events that led up to your pyschotic episode? Perhaps what may have caused it?

[@geekygirl3137]

Hello Kabir , i am really sorry to hear what you have been went through. Can you please guide how did you seek support to get out of this?

[@supernaturali1692]

@@sharfraz6482 mine anxiety i was always crying because of the step dad bullying me when i was young then when he left around 15 years old i felt a lot of axiety then felt so depressed when i turned 17 i was doing strange things with my body like pressing my chest my head and felt i had a problem but always went for a walk and stuff ant lost 40kg and felt weaker when i lost weight but I’m better I don’t feel i have physcosis no more because i cured it

[@benjamindowers8291]

You are an incredible person!

[@jedalbano2014]

I lived through my psychosis also. I remember it vividly. The world was against me. It was terrifying and constant. I could not hide from it. It was the most powerful experience in my life.

[@erniebernie7267]

A lot of people down on the interviewer. I thought her manner was warm, accepting, and empathetic.

[@petemavus2948]

Well she's not quite my cup of tea, but I don't see her leading or anything unprofessional.

[@lotussavage1283]

she was too robotic and fake, and i really disliked and stressed me when she kept interrupting him uuughh!

[@scorpion777silvermoon3]

She did good. She could have laughed but she didn't break character. She takes him seriously and his job... Generally the real petients take forever to trust you. She. Has earned his trust

[@scorpion777silvermoon3]

But what makes patients hear voices

[@perspgold8945]

letting him finish a sentence would be more effective

[@dragonmaid1360]

Really nice line of questioning without escalating the situation. Feeling safe is really important I love that she asks about this and continually keeps him at ease as much as possible.

[@lotussavage1283]

this is a fake interview, they are paid actors

[@bettyangel7009]

I like the way one question leads to another with good transition from one thought to another.

[@bokak379]

She asks open questions and gives him the opportunity to speak his thoughts. It's understanding and doesn't infantilise him. Outside of this I many people would benefit from asking people open questions rather than cornering someone into a conclusion that's already been made for them.

[@daijadorsey674]

Yes she is doing well

[@cjgodley1776]

As someone who has experienced psychosis twice, I can assure you NO doctor has every responded with the empathy displayed by the woman in this training video. In my experience, doctors are sadly NOT trained to treated psychosis as a response to trauma (which, unless it is drug-induced, it is) and are NOT trained to be empathic trauma-informed helpers. They do NOT ask multiple questions, as this woman did, to get to the heart of what is going on. I have not had a single doctor respond the way this woman does in the video.

[@NorahCIIV]

Suffering with psychosis is like living in hell, I’m not one to break. I’ve suffered with my mental health for a long time but when I went through temporary psychosis I just broke, I heard loads of voices pointing out my flaws and I was in a restaurant and just broke down crying because I genuinely thought the voice’s were the people around me

[@hamtaromachina]

I'm extremely sorry to hear that. I hope you are doing well. There are a lot of people who love you even if they are strangers. I wish I can give you a hug

[@jeanalzaidi908]

I'm so sorry their is people out here just like you your not alone hugs

[@fargoth-ur3363]

I went into drug induced psychosis almost a year ago and I relate so much. I was forced to go to A&E and the whole time I could hear people in there talking about me constantly, laughing and laughing about the way I looked. Some of them weren’t even real, or weren’t who I thought they were. I almost got up to hit one of them for what I thought he said to me, but I got called in before I did.

[@vksomji]

Yes you are so True and Absolutely Correct. Even I have Experienced this. It's a Blood Sucking Experience. I mean the Brain Sucks. These Blood Sucking Voices makes a Patient or a Victim commit Crime and then the Victim or Patient is made to behave like a Narcissist Person by these Blood Sucking Voices and later such a Patient is Pushed or gets Drifted into Depression by these Voices which Reminds the Patient of the "Remorse" . The Worst thing of Psychosis is that Nobody Believes them. I have Experienced this. Now I am Carrying a REMORSE

[@vksomji]

@@fargoth-ur3363 Yes even I have been a Victim of Medication. I experienced a "Worst Psychosis which made me Behave Wild like a Mad Animal during PTSD which was after I completed the Medication Course for treating the "Inception of Psychosis with Depression."... I am Still repenting for the Intake of Medication. Instead I would have been Back to Normal if I was Treated with Hypnotherapy for Removing the Bad Memories from Subconscious Mind.

[@oiausdlkasuldhflaksjdhoiausydo]

Bless all the professionals helping these patients and I don't know how much support these professionals get but they deserve more

[@cjgodley1776]

Unfortunately, in my experience I have not met a single professional who responded like the woman in this video. The "professionals" I have encountered during my two psychotic episodes were brutish, unempathic, and almost sociopathic in their responses. Rather than ask scientific or empathic questions to get to the heart of what was traumatizing me that caused the psychosis in the first place, they simply injected me with a cocktail of medications to make me pass out. I woke up in the psych ward the next day.

[@mlisa61]

@@cjgodley1776 yes, u have to be careful. They can easily lie about u or write copious notes. they must have evidence before saying such things about u. do they?

[@nicholasogburn7746]

We are trained, largely, to support ourselves. It's not easy - essentially we have to always add one extra client to our caseload: ourselves. The risk of burnout, of compassion fatigue, of becoming a cold and unfeeling unsympathetic automaton just to protect ourselves is...very significant.

[@sachanielsen9134]

I'm so sorry this happened to you@@cjgodley1776 !! I am currently studying to become a psychologist and hope to be the one that in the future can empathetically help people who have had bad experiences like yourself!!

[@nh8444]

Man, when he says “I don’t know why they’re doing this. I’ve done nothing wrong.” <a href="#" class="seekto" data-time="315">5:15</a> it made my heart sink. Imagine being fearful or anxious about something you haven’t done and not knowing that it’s not real. The experience is real in his head, but the actual actions of others around him for others to verify is not. Reminds me of that episode of House, where the boy thinks he has a chip in his neck and that the aliens know where he is. I couldn’t imagine having this happen to my kid.

[@raychieeliz7658]

I've been diagnosed with psychosis and let me tell you , it's horrible 😞

[@dianakarina8080]

@@raychieeliz7658 does anything help?

[@beautifulragdoll7739]

It breaks my Heart every day. Watching my son suffering from schizophrenia.

[@cheydinal5401]

BTW turns out that according to the video description, the patient is actually played by an actor

[@fedupwitumboth]

So incredibly sad that the mind can get this sick. Absolutely incredible.

[@stephenalbertkurtz588]

She never contradicts him or expresses doubt about the truth of what he's saying. If she did, he wouldn't have trusted her to go on. She's very sensitive. Good for her!!

[@ForrestMystic]

She shouldn't be asking leading questions, though?

[@hermitgreenn]

This is an educational video for students and she presents the correct approach.

[@uniofnottingham]

Remember this gentleman is an actor. :)

[@jenss.3613]

right... OK... Who else is an actor? Tell me. Is your mom an actor as well? Why do you think that is? Would you like to tell me a little more about that?

[@ssimarsimar2395]

You led me to shock

[@celia-cj5py]

Wow! He's a great actor

[@AmeerHamza-iv9sn]

Yeah this interview is basically for teaching purpose its a mimicry of the act. We used to do this in our general physical examination in osce exams.

[@marialungu9709]

He's soo great at it

[@arjunfadia5209]

MSE: Appearance: 21yo M appears stated age, dressed in casual clothes and has groomed hair and beard Behaviour: Good engagement with clinician, makes eye contact until distracted, fidgets with fingers Speech: Appropriate rate, tone and volume Mood: Anxious Affect: Mood congruent, intensity is appropriate, range and mobility are restricted Thought process (stream and form): Appropriate Thought content: Paranoid delusions (persecutory + grandiose) and thought insertion Perception: Auditory hallucinations, responding to external stimuli during interview Cognition: Intact as alert, orientated, intact memory Insight: Poor as unable to appreciate mental illness/ may benefit from healthcare Judgement: Poor as unable to weight up benefits and risks

[@jigmesam]

Psychiatrist has perfected the warm, disarming and comforting "okay". She should do an asmr video of her just saying that for an hour - I'd sleep for a month.

[@anonymousperson8739]

My partner has just been diagnosed with paranoid schizophrenia. These are the exact same symptoms he has been going through. It’s so heartbreaking

[@jekentmenietje]

Best of luck to you both, that must be hard

[@owenf2835]

i cant even imagine how difficult that must be for both of you please continue to support him and make sure he takes his meds for it

[@Emily-ee1iu]

My brother has suffered from psychosis for about 7 years now and has recently had an episode. He has the same symptoms and it’s so hard to see him like it, when it’s someone you love and there’s nothing you can really do to help, I understand how hard it must be for you

[@misslamsasdwj3736]

🙏🏽🙏🏽🙏🏽

[@anonymous-dd3gr]

My brother have delusional desorder its very difficult to treat

[@littleBrownDwarf]

It's very interesting that although the cause of the delusions is likely chemical/biological, the actual delusions themselves are deeply culturally rooted (e.g. housemates, Mi5, tracking devices, brain chips, conspiracies, etc). In some other cultures schizophrenic people are more likely to have positive delusions, and their delusions are not often viewed negatively by family and friends. In many cases, delusions involve voices of dead loved ones, and these "patients" are viewed as chosen people who help the dead to communicate with the living. They're viewed as having a gift, not a disease. I find that fascinating.

[@lucaschmidt8913]

yes in India/Africa they have there anscestors talking to them

[@DariusJablonskis]

Do you think these type of illnesses is more prevalent in western cultures ?

[@KindOldRaven]

That's fascinated me as well.

[@KoshVader]

It's hard to tell because we only have diagnosis rates to go on and more people in the west have access to mental health care.

[@igorbuarque]

Me too. I like how psychiatry has this particularity in which a disease may mean completely different symbols in different cultures.

[@Yousif.b10]

Warning signs before psychosis: It starts with gradual changes in the way you think about and understand the world. You or your family members may notice: A drop in grades or job performance Trouble thinking clearly or concentrating Suspiciousness or unease around others Lack of self-care or hygiene Spending more time alone than usual Stronger emotions than situations call for No emotions at all Signs of early psychosis: You may: Hear, see, or taste things others don’t Hang on to unusual beliefs or thoughts, no matter what others say Pull away from family and friends Stop taking care of yourself Not be able to think clearly or pay attention Symptoms of a psychotic episode: Usually you’ll notice all of the above plus: Hallucinations: Auditory hallucinations: Hearing voices when no one is around Tactile hallucinations: Strange sensations or feelings you can’t explain Visual hallucinations: You see people or things that aren’t there, or you think the shape of things looks wrong Delusions: Beliefs that aren’t in line with your culture and that don’t make sense to others, like: Outside forces are in control of your feelings and actions. Small events or comments have huge meaning. You have special powers, are on a special mission, or actually are a god.

[@genniferpaulgomez3028]

Wow! Thanks, my daughter suffered from psychosis while studying 2year at university & the conversation that are touched in this video, is so painful at the same time I am grateful to have an insight into what the mental condition of psychosis really is. Thanks for airing this interview on the topic.

[@mainipetersen846]

100% symptoms my son experienced

[@neil73]

If you have a family member or friend that is like this, they tend to explode in anger when you point out the flaws in their perception of persecution - then they'll blame you and everyone else instead of looking inward or asking for help. They'll look for anything and everything to back up their theories - even a glance from a stranger walking down the street can be enough to make them think they are persecuted. It's one of the worst mental illnesses because it all seems so real to the person whose suffering from this, and the patient can be at real risk of being hurt or hurting someone

[@kylerobinson1805]

yeah id love to see if my powers if persuasion can help a person see they are delusional like talk to then on a psychological level using logic and reasoning

[@josephwhite7960]

If you come at this from a scientific stand point you'll understand why it's so frustrating for these people. You shouldn't have to persuade a person just like the one in this video of anything. All you'd have to do is lay out the facts and he would underatand what is going on. If he doesn't then there's probably a miscommunication of some sort.

[@mjennifer142]

I hope you forgive your friend.

[@janisgay5507]

I know people don't like her right, okay s, but she is get a lot of info with him feeling negatively judged. She approaches him as if is credible.

[@bobsbeats3950]

@@josephwhite7960 What facts are those?

[@Blue0000FF]

Wow! This guy is an actor. He's terrific with his acting! I thought he was for real.

[@besiaugstin]

There are some people around who faces the same things he said!! Might you felt like joke :)

[@andreasjansen1678]

I just recently suffered from psychosis due to undiagnosed bipolar disorder but now that I've been diagnosed and am being treated I cant even fathom having thoughts like that again.

[@MrTruckerf]

My gosh that's wonderful to hear!

[@robmarley9613]

I love how everyone is trying to diagnose an actor themselves

[@frenchiiz]

as a psych student this helps me a lot to understand my report, thank you for the vid! ❣️

[@pearl8661]

This guy is a pretty good actor. I like that he looks around the room a couple times.

[@cuteangel1493]

@@alvarosalvadores9400 It says he's an actor in the description!

[@KatashiNatsumoto]

It's more like malingering in person with alcohol abuse...

[@bigislander72]

I've had a few friends express their paranoid delusions to me but they don't sound as coherent as him...much more scattered and nonsensical. That's how I can tell he's an actor.

[@suzanneweitzel8851]

Chuck Norris really actor?? I thought it was real . Damm I in tears over the poor baby

[@natalijamitrovic5649]

If he looks around of room, he probably has auditory hallucionatios.

[@jeffandrew300]

I’ve had severe paranoia with hallucinations. The intakes are very difficult because you want help but you certainly distrust the clinicians. It’s really scary to be asked these questions actually. Honestly this doctor’s constant “rights” would trip me up.

[@Kalikikryst]

I think I would have lost it on her tbh. I’ve never experienced psychosis, but I could only imagine being scared and paranoid she would need to slow down. I know this video is for educational purposes so I’ll grant leeway for this.

[@Branman345]

Yeah it is really tough having to asks these questions when a patient that we really know nothing about comes in and we have to ask these and make sure not to set you off at the same time. It is the trust and rapore we must make to make sure that you are safe along with the rest of the people that we are working with. We don’t mean to be intrusive we are doing it to help you out. Even if it feels like we are asking to many questions. It is a way to help you even if you feel like it is us asking too much. I hope you have better experiences in the future and I hope you take it as we are here to help you even when you are in a moment of psychosis. It is hard to see reality when we have a mind that is fogged over and we clinicians know this and want to offer you the best care we can. Hope all is well and that you keep your head up and keep on rockin!!

[@carjaune6793]

I had an officemate in grad school. He started telling me odder and odder things. I told him to go see someone “this may be the last time you’re rational enough to go of your own accord” but I was too late. Miss you Max!

[@workingfortheirfuture]

I suffered psychosis (persecutory delusional disorder) for almost a decade after my dad passed (I now understand that I had traits as a child along the way). The worst of it was dealing with my wife’s ex boyfriend at the same time … playing mind games with us and stalking here - police couldn’t do anything about him - I broke down numerous times because I was being told it’s not real… , somethings were real and others I was perceiving to how I wanted them to look. A tissue blown from up the street might set me off as someone used it to wipe prints off a doorknob. It’s an awful condition.

[@R_S747]

That sounds horrible, knowing something bad is happening but being told it's all made up because you're ""crazy"" and people don't want to hear it, I hope you're in a better place now

[@NurseVale33]

Im sorry 😢

[@roryjamesobst]

delusions

[@valenciag.a]

That sounds so difficult. I hope you've been able to manage this. If you don't mind me asking, how did your doctors convince you to take medications/go to therapy to manage your symptoms? I imagine it would feel alienating to hear that someone thinks you're "ill" rather than believing you.

[@blackhood1996]

Hey man currently I'm going through similar thing as you have (persecutory delusions). Can you give me some tips on how to get better, reduce the paranoia etc...

[@Tudo1]

Really incredible session! They express a very accurate and reliable story, the act work looks genuine. Thanks a lot!!

[@cheydinal5401]

Wait, I thought you were just making that up, but I looked at the description and it actually is played by an actor! Good catch! Sometimes while watching I thought it does feel a bit acting-like, after all if you look into his eyes he seems basically fine it's just his macro actions that seem off, but I was thinking "Well, if it's published by a university then surely it's real", but it's really not lol

[@tzazella751]

"Im not ill or anything, i just want this thing out of my head" i have the same feeling. it's my brain.

[@Fireluv500]

We as family members of the victims of this illness should just be patient with them. All we can do is be supportive and show them great amount of love, for love is a medicine too.

[@K.ALISON]

I wish the psych i first saw was warm like this lady, he was cold sat quite far away and didn't talk very much. I'm not someone who minds silence so the doc being quiet didn't and still doesn't make me want to fill the silence. I like her manner.

[@merbathory7367]

I counted close to 200 "right"s and "okay"s.

[@adyp5176]

quite apt... because usually the psychiatrist is wrong and "not ok"

[@carluvrsd9374]

it takes him a little longer to think with all that noise in his mind, they're distracting.

[@sirloin9348]

That's okay, right?

[@janiya3947]

I know right! She was like interrupting him.

[@darciacruickshank1226]

TOO MANY RIGHTS AND MOUTH SNAPS FROM THE PSYCHIATRIST I HATE IT

[@twown]

Wow, this is intense. What a gift to share. I can't imagine how challenging this must be.

[@Branman345]

This was a really great interview with a patient that is suffering from psychosis. She really knew how to handle this patient even if he was an actor both did a great job illustrating what it is like to see a patient that has psychosis. Brilliantly done and this really made me as a future clinician know what to look for when interacting with a patient that is suffering from psychosis and other disorders as well.

[@54321and]

I watched this with 2 consultant psychiatrists. Both agreed it's effective only as a gross simplification. For example, one rarely ever finds a paranoid /suspicious patient immediately willing to disclose a persecutory delusion - as this young man does within his first sentence .....

[@vardor]

and in front of two cameras? is this possibly acted out?

[@VoidHalo]

Orange Betsy Of course it is, it's called role playing. It's done for the sake of teaching.

[@vardor]

ah ok...thanks

[@mayankkamboj4025]

Yes. True that. It takes more patience on the part of the doctor. Besides, I just find this too much like checking items off a list... Instead of listening more. Maybe it is so because they fit everything in a 12 minute video. But even in a one hour session it'd be too fast and intimidating

[@petemavus2948]

@@mayankkamboj4025 ABSOLUTELY !!!

[@cuteangel1493]

I honestly would have never thought he was acting lol, he was really convincing!

[@v.a2282]

He was?? Demn

[@NickSBailey]

having quite a bit of experience of seeing the real thing he really did a good job

[@MrTruckerf]

I didn't realize he was.

[@cp9105]

Wow that guy is a really convincing actor, I really thought this was not acted at first.

[@frankdonaldsoncanadianking9651]

remember: Denial is stage 1 - jk - but seriously why would u think that?....this is....clearly....very real. -- i.m.o.

[@dfiz1313]

@@frankdonaldsoncanadianking9651 because it the description literally states that the patient is played by an actor

[@garypaffile6811]

Its interesting that these psychology videos always make the leap that persons suffering psychosis are willing to talk or answer questions in the first place. Doctors often act as though the patient knows or believes that they are psychotic, which is nearly never the case with genuine psychosis. It can be rather patronizing the way the doctor asks the questions, and the way they respond as well. Then again, its an interesting video.

[@DazMcK]

Wouldn't be a very educational video if the scenario was a paranoid patient with strong negative symptoms who just sat and didn't make eye contact for 12 minutes now would it?

[@petalpop101]

Are you a doctor? Then how do you know how this "nearly never" happens with genuine psychosis? Also, this is a psychiatry video, not a psychology video. Idiot.

[@EG-qp7nt]

This video is a good example, however I do agree with you (though possibly depends on severity) people in real psychosis often are very incoherent and don't make much sense or they can tend to get very defensive if you ask lots of questions and they get suspicious or feel they're being judged or attacked because they're in such a fear based state, although depends on the severity. If they're really paranoid they won't say anything at all because they're too paranoid.

[@megndscallion]

listening to Andy's responses and cant help hes sporting a lovely looking North Face jacket.

[@dr.spencerreid2991]

Ahahahgagaga

[@petemavus2948]

LOL you shopaholic !!!

[@Victor_Costa31]

The way she says "that must be very difficult for you" sounds very raw and apathetic, in my opinion at least. A better way I guess would be "I imagine that must be very disturbing for you" in a more slow and passive way.

[@bigislander72]

This is why I view going through psychotherapy as essentially useless unless one has severe mental illness requiring medication...why pour your heart and soul out to someone so cold and clinical that really doesn't care about you at all, not even in a friendly neighborhood aquaintance level, much less love you.

[@mayankkamboj4025]

@@bigislander72 You're right. A majority of therapists like to hide behind a wall. They expect the other person to pour their heart out, just because they have a psychology degree. That's not how it works. You gotta earn the patient's trust. A good therapeutic relationship is loving. But the majority of therapists rn aren't that. There is a sort of egotistical satisfaction in being "superior" in a relationship, which I think most therapists have

[@petemavus2948]

@@mayankkamboj4025 many PCs or GPs as well, some can act as impersonal dispatchers ( to other doctors/ specialists ) and dispensers ( of medications ).

[@blackmichael75]

That's just English sang froid.

[@chekkop]

Psychosis can be very powerful. I have severe social anxiety, it's a very hard thing to even type text to my internet friends and no joke, 12 years ago it was very stressful to even stand in front of a window in my moms apartment. But my first episode of psychosis I had two years ago made me run naked outside. It felt like life was seen from another perspective, as if it was some sort of lie and the "real" life was gonna start later so whatever I do here did not matter.

[@lurgemusic]

Psychosis was such a bizarre thing to experience. One moment i felt like superman and the next i felt like a scared animal. I felt some of the worse dread ever but at the same time i felt entirely connected to everything and everyone. Such power … permanently changed me

[@andreahinojosa3833]

The interviewer is talking way to fast and it feels like shes not really acknowledging his feelings by saying "right" and asking question before he's even done talking. Very stressful to watch.

[@kesikansj]

In the other teaching videos people had been complaining that the interviewer is using too many rights

[@snape539]

Andrea Hinojosa You just described every psychologist i met

[@christabel5148]

Isn't this supposed to be an assessment?

[@JohnThornley]

Andrea Hinojosa Good points. I hear questions but more leading that i would be comfortable with. I i wonder how many of her leads will emerge in his delusions later on.

[@trayas2272]

Sometimes u need to ask patients with psychosis leading questions as they sometimes don’t offer information unless specifically asked about it. Poverty of thought and speech is a common symptom, they might just not be thinking much.

[@Phoenix-md8sh]

I live with bipolar disorder with psychotic features and have experienced similar thoughts. It's definitely terrifying and confusing.

[@jean-lucpicard5510]

My housmates are working for MFI, and keep trying to sell me a discount three piece suit.

[@forgoroe]

Right, right, right. Oh man, the forced empathy act. Isn't it quite obvious how much I care and am genuinely curious about your situation after hearing me excessively say "right" ? Right, right, yeah, I get you dear. It comes off as "Oh, I know everything about your experience". Running the risk of having the opposite effect of empathy: condescension. Especially when the word "right" is shoved in the conversation repeatedly as soon as the first syllables of the person's answers are uttered. If you're going to ask me questions and all you want is raw data about my experience, you might as well just had me fill in a form. I'm sure valuable data is being gathered here which will ultimately overall help the person, but I'm sensing a lack of genuine human care which... Is needed. Always. P.S. Having had my chance to rant: overall informative and helpful. Thank you

[@SamOwenI]

Plot twist: he's not delusional, and his mother is actually working for MI5 as well...

[@AnxietyAddict]

Plot twist: the doctor is the one with a psychosis And she talks to her shoe binders and other, stationary

[@asdfgh-sd5cd]

***** plot twist: we're in the matrix

[@asdfgh-sd5cd]

***** plot twist: 420 blaze it

[@china4151986]

SamOwenI lol

[@pandabear4321gogo]

SamOwenI Real plot twist: She's his housemate.

[@cjojay]

That is how you check for symptoms in medicine. Doctors have to trust that patients will be honest about their experiences. This is what guides diagnosis and investigation.

[@Adamisgood24]

I experienced only drug induced psychosis when I used to take high doses of dextromethorphan, and smoked weed on it, or from taking just high doses of dextromethorphan, and redosed it several hours later. I did too hear voices talking to me, and controlling my movement, and what I would say. That induced fear and anxiety in me up until a point where I would get psychosis later down the line, and that fear and anxiety just disappeared all together, right up until my doctor prescribed me 2 antidepressants, and that put a total stop of me taking DXM anymore. I still don't feel fear, and very rarely experience only very low levels of anxiety. I am fine now, and I know for sure if I were ever take that stupid DXM on my antidepressants, I could get serotonin syndrome, and that is very bad condition that I could even die from.

[@bloodbathbushcraft]

Being isolated for awhile triggers alot of mental disorders.

[@ASMinor]

I am an avid #MentalHealthAwareness advocate and performer, and I love this so much. I travel the country trying to bring that awareness on stages, in classrooms, hospitals, and on my KZbin channel, so I get excited when I see other advocates. 💙❤

[@Alprtngakrc]

So what do you advocate? Do you advocate locking up people until creating a chemical dependency in them and then making money out of it by managing that dependency that's created by psychiatry itself? What kind of people are you for God's sake? Why don't you defend human rights instead? Why don't you fight against involuntary commitments and involuntary drugging of those suffering individuals? What kind of person are you?

[@lynnwilson2615]

Her interrupting his answers is driving me crazy.

[@aliaaabdulhakeem7081]

The patient is a good actor, very well done

[@squatter2983]

This is like a job interview I once had.

[@vksomji]

I am not a Doctor or a Professional Expert but after Listening to the Counselling Session, I Support the Patient because, Even I have Experienced Worst Psychosis during my PTSD...what you mentioned, "Drugs Induced Mental Disorders". So after Self Analysis for 10 yrs and Changing my Treatment I think the Patient should go for Hypnotherapy for Removing any Past Memories from Subconscious Mind which triggers Mental Disorders. Again I am just Recommending Hypnosis Session based on my Personal Experience for curing my Mental Disorders which included Psychosis and Depression.

[@MrTruckerf]

It is certainly worth a try, I would think. If it worked for you, it could work for others. Although I have read that there are people who cannot be hypnotized.

[@jewhisperer]

This is an intense and very specific experience of psychosis.

[@abilify10mg]

i have schizophrenia....its been 21 years now....i must point out that i look pretty normal from the outside....mine is when i am alone...thats when the thoughts appear...thanksfor the video

[@jesusalvarado2202]

You arent alone

[@sentinelislander5239]

+ferdinand la marca u should have to have head phones and hearing songs loud so that voices could be masked....

[@DeceivingHeart]

Be strong brother. You are not alone.

[@Cojon91]

What is the best way to be a caring friend without causing unnecessary stress in this situation?

[@hayam35]

you hear the thoughts inside your head or coming from out side reaching your ears ....

[@chitty2bang]

Wow. She truly is an experienced psychiatrist.

[@rft1509]

Put that Actor in a movie He is such a good actor

[@merelymaterial]

excellent interview, although the interviewer did sound a little robotic with her empathic statements "that must be very difficult for you"

[@stoneroses3493]

yep she sounded really fake lol!

[@petemavus2948]

distancing - dismissive?

[@vanessanandasena4617]

Thoroughly informative and insightful. Thank you!

[@UTprema]

Plot twist: all of you guys are working for MI5. The doctor is actually M, and the patient is .... Yes, you guessed it right .... Agent 007!

[@stephenoneill2844]

Now you're thinking! And yes you are actually on the right track, and I know what I am talking about.

[@Sharrendan]

I love psychology.. So many interesting people out there in our world..

[@adyp5176]

agreed, me too, but this is psychiatry psychology is the study of the motivations behind human behaviours psychiatry is the study (in isolation from life / the whole person) 'illnesses of the brain' and (drug) 'cures' which group would you think understands people better?

[@maka1706]

I’m impressed by acting, so real

[@zazzong6259]

I have a family member who has psychosis.. the problem is, she's not letting anyone near. She has studied psychology and psychoanalysis and thinks we are trying to manipulate her.. when we suggest seeing a doctor, she wants to know the methods and she won't let them 'manipulate her brain'. It's getting worse and we don't know what to do about it.

[@elizabethcotton4659]

My nephew was so young when he took cannabis. He’s now 25 and still sectioned. He has psychotic episodes. Not a danger to anyone but is too vulnerable to live alone. So sad x

[@marinavam3942]

Cannabis can cause psychotic episodes?

[@meharabchoudhury38]

@@marinavam3942 lots of links to shizophrenia and cannabis use.

[@cat5220]

You know you're in trouble when your roommates move the TV.... X,D

[@rft1509]

hahahahahahaha Im dying XXD

[@petemavus2948]

Especially when their little green men ;)

[@dewilew2137]

Imagine how absolutely distressing and debilitating this must be.

[@petemavus2948]

Yes even though I've made jokes with fellow commentators here I would never dismiss or hurt someone actually experiencing such painful distress.

[@jeanalzaidi908]

just because a person has psychosis doesn't mean a person isn't intelligent or a good person,their mind is just confused its sad but very treatable in most cases

[@cristinarusu6133]

Bless him. My heart is broken 😭

[@Lookatmeshine]

I can hear someone saying yep and okay in the background... is that part of the psychosis or just someone directing on the video? lol.

[@petemavus2948]

@@RobespierreThePoof Funny but another commentator mentioned it too. My volume on high was almost not enough to hear everything he said nevermind these " other voices ". Orrrrrrr I'm not psychotic...Yay !!! LOL

[@jomama5186]

This is really sad. My love and prayers are with him.

[@plarnston]

Don't worry, he is an actor! :)

[@Yinyanchant]

You do know he's an actor yes? 😅

[@randersonctr77]

This guy's a great actor!!

[@amandasteven1400]

an illuminating and easy to follow series with excellent audio quality. i mean, if one picture is indeed worth 1000 words... then how can one not glean an insight?

[@N8T1V3-5F]

beautiful example of non-judgemental report building w/ assessment

[@zainabahmadi731]

with my all respect to Dr. Taylor experience and skills one point that is very obvious for me in this interview was about the flow of speech of psychiatrist! I think it is a little bit fast, may be cause of native language or anything else but at all she well done to create contact with patient and to know about diagnosis.

[@tehillajeffrey5811]

Sometimes people experience actual persecution so often they grossly incorporate that reality into their normal life and thoughts and then they become deranged and psychotic.

[@eureka842008]

To me, he sounds like my neighbour who's been diagnosed with schizophrenia.

[@VoidHalo]

One thing I never got is why someone would go to a doctor about their flatmates working for the government and all that. Any time I've been psychotic the thought never occurred to me that a doctor could help with things my delusions made me think were happening.

[@VoidHalo]

EndofMusic Right and in that case as I may or may not have mentioned, I can't remember as it's been quite some time since I posted the comment and I haven't read over it yet. I think having insight into the fact that there's something wrong would preclude somebody from having a full blown psychotic break. The main diagnostic criteria for a delusion is a false belief that the person has no insight into.

[@genevievegenereux4262]

I think sometimes people are just desperate to have someone who will listen.

[@Raxxer1993Q8]

The patient was an actor???? I feel betrayed 😂😂😂

[@alilopez4836]

Thanks a lot! That was a great learning experience.

[@iQafa]

The man is a very convincing actor.

[@houseofsolomon2440]

They have real interviews with real patients all over the internet ✅

[@zoeyperkes8572]

He must be very brave to talk about what he thinks is going on.

[@scriptureexamined4664]

Plot twist: she works for MI5 and owns a pet rock.

[@funnyvidstoday101]

lol, honestly that too funny

[@anonymous915]

How does the doctor know what's going on in someone's life isn't real or not? Just because it sounds far-fetched doesn't mean it's not real. Happened to me. Diagnosed with psychosis - although another person could confirm the truth of what I was reporting. In my case the psychiatrist apparently thought he could read my mind. Crazy.

[@cp9105]

+anonymous915 Listen to the guy, he said his roomates moved his T.V and he knew then they were working for MI5, that doesn't make any sense and is clearly delusional thinking.

[@ArizonaWillful]

Should she be leading him on by mentioning possible other symptoms?

[@masondickerson9466]

I was curious about this as well. I definitely think it might be not so good for teaching future psychologists, but also remember that in this case, it is an actor portraying psychosis.

[@teethgrinder83]

Just incase people don't realise, this is role play for teaching purposes, she's doing an assessment NOT treatment and so this isn't therapy. Therapy would sound a lot different and the assessment would probably have a different tone depending on each individual-this was only an instructive video for students to know what questions to ask, what assessments to make etc..

[@jogmindersandhu4485]

Who else is here for our assignment 😭🫡🪂

[@inspectorsteve2287]

Wow this psychiatrist is really good. Very nice.

[@Luna-ft8yh]

The actor is really amazing :O

[@Cmdr_LaLa]

Lack of desire for physical conflict, passive suicidal thoughts by means of pills versus violent harm, not wanting to drag his parents into his sense of danger would indicate lack of violent tendencies at this stage. Obvious present paranoia and preoccupation with MI5 to explain the things he's experiencing with his auditory hallucinations. You obviously can't explain to someone in that condition that they're wrong, especially when already on the defensive so the method of being the person to provide support to help them cope with the situation really is the best starting place.

[@user-em4rk4qo1f]

But...what if the MI5 is actually spying on him? !

[@stephenoneill2844]

They are actually targeting him (well he is n actor) , at least they do that type of crap all the time to innocent people, and I know what I am talking about. What is it the SECRET service actually does? The clue is in the name.

[@j.b.4340]

Pretty good acting. Paranoid schizophrenia is a scary thing. They’re unpredictable, and irrational.

[@RandyDandy114]

very good and informative video, thanks for sharing!

[@frankydottir8762]

I feel so sad for this guy... I hope he got well eventually.

[@smilescomeforfree5855]

This is brilliant, thank you.

[@SyroSoul]

Very good acting 👏

[@Gharfoil]

What if his housemates actually DO work for MI5?

[@casey.rob.]

Right. Ok.

[@robingardella6240]

😂 He lives in a boarding house frequently used by spies.

[@petemavus2948]

I had a phase when I listened to M15 but I grew out of that heavy metal stuff years ago!

[@stephenoneill2844]

Don't know about his housemates , but I do know that Mi5 target innocent civilians all the time with mind altering directed energy weapon , stalking, harassment and Stasi style zersetzung type activities.

[@blackmichael75]

MI5 actually did used to bug people's phones and open their mail. I'm sure nowadays they spend all their time reading people's emails and texts.

[@ManifestMama]

I pray that my daughter's father finds sobriety and helps himself by trusting someone because it sucks he's not all there... Especially after 10 years he's finally been diagnosed with drug induced schizophrenia...

[@kaskarkhan1337]

MI5: 'he's on to us'

[@isabellapettersson9047]

that therapist is really good